Individual
THOR HAUFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
4971 W OVERLAND RD, BOISE, ID 83705-2822
(208) 472-5050
(208) 472-5051
Mailing address
PO BOX 191050, BOISE, ID 83719-1050
(208) 955-6500
(208) 955-6503
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1160A
ID
363LF0000X
Family Nurse Practitioner
N-26795
ID
Other
Enumeration date
07/14/2009
Last updated
09/24/2024
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